|Publication number||US6863440 B2|
|Application number||US 09/791,189|
|Publication date||Mar 8, 2005|
|Filing date||Feb 22, 2001|
|Priority date||Feb 22, 2001|
|Also published as||US20020114427|
|Publication number||09791189, 791189, US 6863440 B2, US 6863440B2, US-B2-6863440, US6863440 B2, US6863440B2|
|Inventors||Peter Sildve, Randall Wick|
|Original Assignee||B.F. Wehmer Co., Inc.|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (27), Referenced by (6), Classifications (6), Legal Events (9)|
|External Links: USPTO, USPTO Assignment, Espacenet|
The present invention relates to an apparatus used to position a patient's head for x-ray imaging, and to methods for using the apparatus to obtain various x-ray images of the patient's head.
In the accompanying drawings:
Arm member 40 is of sufficient length to provide a desired spacing of sixty inches between x-ray emitting source 66 mounted to end 46 and a midsaggital plane of a patient (an imaginary vertical plane generally aligned with the face of a patient) when the head of the patient is positioned by an ear locating member 54 coupled to arm member 40 as described in greater detail below. To provide the desired spacing in the presently described embodiment, the length of arm member 40 is determined so as to enable a spacing of between 50 inches and 70 inches between an x-ray emitting source mounted on projecting portion 45 and an axis of rotation 100 of arm member 40.
A gripping member 150 may project from arm member 40 intermediate arm member ends 60 and 46 for grasping by the patient to help stabilize his position during the radiography session.
A hole 32 is provided in arm member 40 intermediate end 60 and opposing end 46 for receiving a bearing (not shown) which accepts a pivot member 102 on which arm member 40 is rotationally mounted through bolt 103.
In various embodiments, arm member 40 may be rotatably mounted to a wall, floor, ceiling or other surface. Alternatively, arm member 40 may be rotatably mounted on a support member. The support member with arm member 40 thereon may then be affixed to a wall, floor, ceiling or other surface, or the support member may form a transportable base permitting transportation of arm member 40 to different locations.
A pivot member 102 is provided for rotatably connecting arm member 40 to a wall, support member or other surface for rotation about an axis of rotation 100. Referring to
Rotation of arm member 40 on pivot member 102 may be manually actuated or motorized. If rotation of arm member 40 is to be manually actuated, arm member 40 may be coupled to a counterweight system (not shown) for counterbalancing the weight of any imaging system components mounted on arm member 40 during arm member rotation. Commonly known ways of assisting movement of arm member 40 are contemplated herein.
As seen in
In the presently described embodiment, a pair of ear locating members 54 is incorporated into a bracket apparatus 50 affixed to arm member 40 and x-ray film plate holder 58. In this embodiment, bracket apparatus 50 comprises a mounting plate 48 affixed to arm member 40 and a head fixator 70 affixed to mounting plate 48. Head fixator 70, for example, is embodied in the head fixator disclosed in McArdle et al., U.S. Pat. No. 4,974,243, the description of which is incorporated herein.
As seen in
Indicator slot 130 is provided such that the head of the patient will be visible through slot 130 when ear locating member 54 attached to bracket 72 is inserted into the ear canal of the patient. Bracket 72, or a portion of the bracket incorporating indicator slot 130, may be formed such that slot 130 is an opening through bracket 72. Bracket 72 may be formed from a transparent or translucent material to provide a clearer visual indication of the orientation of the patient's head. The indicator of the present invention is contemplated to take on numerous constructions which will identify a plane. In the presently described embodiment, the plane identified is perpendicular to the direction of emission of the x-rays. The plane intersects arm member axis of rotation 100 and is alignable with ear locator members 54. Typically, a plane of this nature can be located by use of two points that the plane will intersect or by identifying a line included in the plane. Thus, the indicator can include a point or area location which are contained in the plane. For example, an opening positioned in bracket 72 positioned above ear locator member 54 can locate the plane. An elongated member aligned to intersect arm member axis of rotation 100 and extending upwardly can also accomplish this task. Alternatively, a single line (or one or more parallel lines) may be provided on a bracket which is formed from a transparent or translucent material. The line (or lines) would extend along a longitudinal axis running parallel to axis of rotation 106 and define a plane which is transverse or, as in the presently described embodiment, perpendicular to the direction of emission of the x-rays. Various target markings or structures, lines, slots and other corresponding known ways of locating a plane are also contemplated herein.
As shown in
A second friction reduction element (not shown) may be positioned on bracket inner surface 126 so as to be interposed between bracket 24 and arm member 40 during movement of arm member 40 with respect to support member 12. In a manner similar to first friction reduction element 124, the second friction reduction element provides smooth relative motion of arm member 40 with respect to bracket 24 and reduces wear on these components.
In an embodiment of the present invention in which arm member 40 is manually rotated, an arm member locking device may be incorporated for securing arm member 40 in a first predetermined angular position. As seen in
A second locking device comprising a second spring loaded plunger 128 may be located proximate second end 96 of frame second portion 16 for securing arm member 40 second end such that arm member 40 is in a second predetermined angular position (in this embodiment, approximately 25 degrees below the horizontal) with respect to frame 12. Second spring loaded plunger 128 is positioned in alignment member 24 proximate second end 96 of frame second portion 16. A complimentary hole 130 is located in arm member 40 proximate arm member second end 60 for insertion of second spring loaded plunger 128 therein when arm member 40 has been rotated to the second predetermined angular position.
Alternatively, a hard stop or other equivalent structure may be provided for maintaining arm member 40 in the second predetermined angular position. The hard stop may be provided by, for example, a spacing projection 114 extending from an end of alignment member 24.
In other alternative embodiments, the head positioning apparatus described above may be mounted onto a support member mounting structure comprising a frame, one or more brackets or a similar structure configured to allow repositioning of the head positioning apparatus with respect to the wall, floor or ceiling. The support member mounting structure may, for example, comprise a pair of parallel rails affixed to a wall, portions of the support member being configured to slide along these rails. The rails may alternatively be affixed to a floor or ceiling. Also, a motorized positioning mechanism may be included to enable selective positioning of the head positioning apparatus with respect to the wall, floor or ceiling. Alternatively, a manual positioning device may be used to locate the head positioning apparatus along the rails. A securement device may be used to secure the head positioning apparatus in a desired position along the rails. The securement device may comprise a spring loaded plunger or other equivalent device.
Methods for using the above-described head-positioning apparatus to obtain various x-ray images of the head of a patient will now be discussed.
For purposes of obtaining a submental vertex view, indicator slot 130 is oriented with respect to x-ray emitting source 66 such that x-rays emanating therefrom impinge a plane located by indicator slot longitudinal axis 140, at right angles to the plane. As indicator slot 130 and x-ray emitting source 66 are mounted on arm member 40 and rotate in conjunction with each other, the desired relationship between these elements is maintained for every angular position of arm member 40.
The plane located by indicator slot longitudinal axis 140 is used to indicate proper orientation of a specific diagnostic plane of the patient with respect to x-ray emitting source 66. In the presently described embodiment, the specific diagnostic plane of interest is known as the Frankfort plane. As is known in the art, the Frankfort plane is defined by a line joining an ear canal opening of the patient and the lower eye socket adjacent the ear canal. More particularly, the patient is determined to be properly oriented with respect to x-ray emitting source 66 when the Frankfort plane of the patient is coplanar with a plane located by indicator slot longitudinal axis 140.
To help identify when the Frankfort plane of the patient is coplanar with a plane located by indicator slot longitudinal axis 140, an indicator mark 250 is applied to the face of the patient at the lower portion of the eye socket adjacent an ear to be positioned by one of ear positioning members 54. Indicator mark 250 serves as a visual indication of one point used to identify the Frankfort plane of the patient, the other identifying point being the ear canal of the patient. The indicator mark may comprise, for example, an adhesive patch or a mark made using removable ink.
To position the head of a patient for obtaining a submental vertex x-ray view, arm member 40 is rotated to the second angular position (approximately 25 degrees below the horizontal) and locked in position. Rotator assembly 104 is rotated about axis 106 until a line extending through ear positioning members 54 is coaxial with arm member rotational axis 100. Rotator assembly 104 is then locked in position. With the patient facing in the general direction of x-ray emitting source 66, the head of the patient is secured in the head-positioning apparatus by inserting ear locating members 54 into respective ear canals of the patient. The head of the patient is then rotated about ear positioning members 54 until indicator mark 250 applied to the face of the patient adjacent ear locating member bracket 72 is visible in indicator slot 130 and intersects a plane located by indicator longitudinal axis 140. Indicator longitudinal axis 140 intersects line 200 extending through ear positioning members 54. Ear positioning members 54 are inserted into the ear canals of the patient. Therefore, when the head is positioned such that both indicator mark 250 and the ear canal adjacent indicator mark 250 lie on a plane located by indicator longitudinal axis 140, the Frankfort plane of the patient is determined to be coplanar with the plane located by indicator longitudinal axis 140; thus, the desired orientation of the head has been achieved. An x-ray view of the head of the patient is then taken in this position.
If it is desired to take anterior and submental vertex views in sequence, arm member 40 may be rotated from first angular orientation “A” to second angular orientation “B” (or vice versa) while the patient remains secured in the head-positioning apparatus, thereby minimizing movement of the patient between successive views.
As previously stated, rotator assembly 104 and brackets 72 connected thereto are capable of 360° rotation about axis 106 and have index stops lockable at every 45° in their circular range of rotation about this axis. Thus, in addition too the above-mentioned views, the head-positioning apparatus of the present invention may be used to obtain oblique views of the head of a patient. To position the head of a patient for obtaining a oblique x-ray view, arm member 40 is locked in the horizontal position. Rotator assembly 104 is rotated about axis 106 until a line extending through the center of an x-ray beam emanating from source 66 intersects line 200 extending through the ear locating members at an acute angle. In the presently described embodiment, as rotator assembly 104 is lockable every 45°, the acute angle formed by the intersection of the above-described lines would be 45°. An x-ray view of the head of the patient is then taken in this position. Oblique views at other angles would be possible depending the rotational positions about axis 106 at which rotator assembly 104 could be secured.
It should be understood that the preceding is merely a detailed description of one embodiment of this invention and that numerous changes to the disclosed embodiment can be made in accordance with the disclosure herein without departing from the spirit or scope of the invention. The preceding description, therefore, is not meant to limit the scope of the invention. Rather, the scope of the invention is to be determined only by the appended claims and their equivalents.
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US2264410 *||Aug 2, 1940||Dec 2, 1941||Schier Mayer B A||Radiographic angulating apparatus and method|
|US3536913||Nov 17, 1967||Oct 27, 1970||Automobiles Simea Sa Soc D||Panoramic x-ray machine for taking radiographs of the oral cavity|
|US3790803||Oct 25, 1972||Feb 5, 1974||Phillips W||Sighting and relating device for x-ray tube head|
|US3875412 *||Jul 9, 1973||Apr 1, 1975||Marita Siesakusha Kk||Apparatus for taking an X-ray picture of the head|
|US3906227||Sep 9, 1974||Sep 16, 1975||Sybron Corp||Dental x-ray machine|
|US4088893||Feb 7, 1977||May 9, 1978||Schroeder Charles H||Head orienting device for cephalometric X-rays|
|US4125774||Dec 1, 1977||Nov 14, 1978||Pennwalt Corporation||Panoramic dental x-ray machine|
|US4144460||Sep 6, 1977||Mar 13, 1979||Rinn Corporation||Method and device for radiographing human jaw joints|
|US4256112 *||Feb 12, 1979||Mar 17, 1981||David Kopf Instruments||Head positioner|
|US4400826||Oct 14, 1980||Aug 23, 1983||Giulio Preti||Craniostatic positioner, particularly for the ambulatorial radiography of the temporal-mandibular articulation|
|US4566444||Dec 28, 1982||Jan 28, 1986||Spolyar John L||Portable roentgenographic cephalostat|
|US4579117||Dec 20, 1983||Apr 1, 1986||Spolyar John L||Portable roentgenographic cephalostat|
|US4683582||Jul 22, 1985||Jul 28, 1987||Spolyar John L||Portable roentgenographic cephalostat|
|US4759361||Aug 18, 1986||Jul 26, 1988||B. F. Wehmer Co., Inc.||Telescopic adjustment assembly for head positioning means in a cephalostat|
|US4760591||May 19, 1986||Jul 26, 1988||B. F. Wehmer Co., Inc.||Cephalostat for cephalometric roentgenography|
|US4907251||Mar 10, 1988||Mar 6, 1990||Kabushiki Kaisha Morita Seisakusho||Patient positioning device in medical panorama X-ray photographing apparatus|
|US4979519||May 5, 1988||Dec 25, 1990||Board Of Regents, University Of Texas System||Head positioning system for accurate cranial alignment and dimension in magnetic resonance|
|US5058147||Jun 25, 1990||Oct 15, 1991||Kabushiki Kaisha Morita Seisakusho||Dental panoramic/cephalo X-ray photographing device|
|US5160262||Feb 5, 1991||Nov 3, 1992||Ormco Corporation||Dental articulator|
|US5263494||Nov 4, 1991||Nov 23, 1993||Gendex Corporation||Head positioner for cephalometric X-ray|
|US5320528||Sep 2, 1992||Jun 14, 1994||Alpern Michael C||Dental articulator|
|US5325415||Aug 7, 1992||Jun 28, 1994||Coffman George W||Apparatus for conducting cranial X-ray tomography and radiography|
|US5513240||May 18, 1993||Apr 30, 1996||The Research Foundation Of Suny||Intraoral radiograph alignment device|
|US5612985 *||Oct 24, 1995||Mar 18, 1997||Kabushiki Kaisha Toshiba||Computer tomography apparatus|
|US5629972||Nov 3, 1995||May 13, 1997||Research Foundation Of State University Of New York||Intraoral radiograph alignment device|
|US5642392||Mar 24, 1995||Jun 24, 1997||J. Morita Manufacturing Corporation||Medical radiographic apparatus and patient's head fixing device|
|US5692027||Apr 12, 1995||Nov 25, 1997||J. Morita Manufacturing Corporation||Radiographic apparatus and supporting device and method for the same|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US7430773 *||Sep 20, 2005||Oct 7, 2008||Wisconsin Alumni Research Foundation||Device to facilitate controlled rotation of the cervical spine|
|US7577232 *||Apr 20, 2006||Aug 18, 2009||J. Morita Manufacturing Corporation||Medical X-ray imaging apparatus and X-ray detector for using the same|
|US7748902 *||Nov 27, 2008||Jul 6, 2010||Moshe Ein-Gal||Stationary source radiotherapy|
|US20060256921 *||Apr 20, 2006||Nov 16, 2006||J. Morita Manufacturing Corporation||Medical X-ray imaging apparatus and X-ray detector for using the same|
|US20070061972 *||Sep 20, 2005||Mar 22, 2007||Brown Micah B||Device to facilitate controlled rotation of the cervical spine|
|US20100128840 *||May 27, 2008||May 27, 2010||Young-Jin Cha||Photographing apparatus of composition-image for dental diagnosis|
|U.S. Classification||378/208, 378/177, 378/195|
|Apr 20, 2001||AS||Assignment|
Owner name: B.F. WEHMER CO., INC., ILLINOIS
Free format text: ASSIGNMENT OF ASSIGNORS INTEREST;ASSIGNORS:SILDVE, PETER;WICK, RANDALL;REEL/FRAME:011741/0642
Effective date: 20010406
|Sep 27, 2005||CC||Certificate of correction|
|Nov 29, 2005||CC||Certificate of correction|
|Sep 15, 2008||REMI||Maintenance fee reminder mailed|
|Feb 18, 2009||SULP||Surcharge for late payment|
|Feb 18, 2009||FPAY||Fee payment|
Year of fee payment: 4
|Oct 22, 2012||REMI||Maintenance fee reminder mailed|
|Mar 8, 2013||FPAY||Fee payment|
Year of fee payment: 8
|Mar 8, 2013||SULP||Surcharge for late payment|
Year of fee payment: 7